Provider Demographics
NPI:1679666143
Name:LINDSEY, RODGER ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:RODGER
Middle Name:ALLEN
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 479
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42210-0479
Mailing Address - Country:US
Mailing Address - Phone:270-597-9024
Mailing Address - Fax:270-597-9024
Practice Address - Street 1:247 MOHAWK STREET
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42210-0479
Practice Address - Country:US
Practice Address - Phone:270-597-9024
Practice Address - Fax:270-597-9024
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3915111N00000X
AL1247111N00000X
KYKY-0933225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist